How do I use the ClickMedix Platform as a Tele-Geriatrics Data Manager?
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The document outlines training for data managers on a tele-geriatrics platform. It describes the platform's functions like viewing, searching, and creating patient records, as well as scheduling appointments, generating reports, and setting alerts. It provides examples of using the platform to schedule check-ups for a patient with Alzheimer's, record vital signs during a physical exam, and print an exam report for a doctor. The training also covers sample graphs, different case studies involving medication or referrals, and practicing recall of case details.
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SBAR report to physician about a critical situation S .docx
SBAR report to physician about a critical situation
S
Situation
I am calling about <patient name and location>.
The patient's code status is <code status>
The problem I am calling about is ____________________________.
I am afraid the patient is going to arrest.
I have just assessed the patient personally:
Vital signs are: Blood pressure _____/_____, Pulse ______, Respiration_____ and temperature ______
I am concerned about the:
Blood pressure because it is over 200 or less than 100 or 30 mmHg below usual
Pulse because it is over 140 or less than 50
Respiration because it is less than 5 or over 40.
Temperature because it is less than 96 or over 104.
B
Background
The patient's mental status is:
Alert and oriented to person place and time.
Confused and cooperative or non-cooperative
Agitated or combative
Lethargic but conversant and able to swallow
Stuporous and not talking clearly and possibly not able to swallow
Comatose. Eyes closed. Not responding to stimulation.
The skin is:
Warm and dry
Pale
Mottled
Diaphoretic
Extremities are cold
Extremities are warm
The patient is not or is on oxygen.
The patient has been on ________ (l/min) or (%) oxygen for ______ minutes (hours)
The oximeter is reading _______%
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A
Assessment
This is what I think the problem is: <say what you think is the problem>
The problem seems to be cardiac infection neurologic respiratory _____
I am not sure what the problem is but the patient is deteriorating.
The patient seems to be unstable and may get worse, we need to do something.
R
Recommendation
I suggest or request that you <say what you would like to see done>.
transfer the patient to critical care
come to see the patient at this time.
Talk to the patient or family about code status.
Ask the on-call family practice resident to see the patient now.
Ask for a consultant to see the patient now.
Are any tests needed:
Do you need any tests like CXR, ABG, EKG, CBC, or BMP?
Others?
If a change in treatment is ordered then ask:
How often do you want vital signs?
How long to you expect this problem will last?
If the patient does not get better when would you want us to call again?
This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safety,
and please retain this footer in the spirit of appropriate recognition.
Guidelines for Communicating with Physicians Using the SBAR Process
1. Use the following modalities according to physician preference, if known. Wait no
longer than five minutes between attempts.
1. Direct page (if known)
2. Physician’s Call Service
3. During weekdays, the physician’s office directly
4. On weekends and after hours during the week, physician’s home phone
5. Cell phone
Before as.
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APA Title page, running head, page numbers, reference sheet. Use Level 1 and 2 headings to make identifying the components of the paper easier. – 5 points after grade calculated from rubric.
TO be successful in the clinical setting do the following:
You need a APA cover sheet, running head and reference page for anything you turn in (Journal, SOAP note, Time Log).
Do Not change the template.
Do use the template located in the Doc Sharing. This is the explanation of the template…this is not the template.
READ every line of this document please.
You must site 2 journal articles in addition to Epocrates/Medscape and text book failure to do so is -10 points outside of the rubric.
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SUBJECTIVE DATA: What the patient tells you but organized by you in logical fashion
Chief Complaint (CC): One to three words explaining why patient came to clinic value 1 point
History of Present Illness (HPI): Paint a picture of what is wrong with the patient. You need to start EVERY HPI with age, race, gender. (Example: 34-year-old AA male) Must include the 7 attributes of each principal symptom: value 7 points hint: OLD CART
Write your paragraph in the order of old cart & chart as well if missing paragraph -3.5 if missing list -3.5
Onset
Location
Duration
Characteristics
Aggravating Factors
Relieving Factors
Treatments/Therapies
Each of these are valued at 0.5 points (maximum 4 points)
Medications: list each one by name with dosage and frequency
Allergies: include specific reactions to medications, foods, insects, environmental
Past Medical History (PMH): Illnesses, hospitalizations, risky sexual behaviors. Include childhood illnesses
Past Surgical History (PSH): Dates, indications and types of operations
OB/GYN History: (if applicable) Obstetric history, menstrual history, methods of contraception and sexual function
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Copyright © Pearson Higher Education, 2013 1 Pleas.docx
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SBAR report to physician about a critical situation S .docx
SBAR report to physician about a critical situation
S
Situation
I am calling about <patient name and location>.
The patient's code status is <code status>
The problem I am calling about is ____________________________.
I am afraid the patient is going to arrest.
I have just assessed the patient personally:
Vital signs are: Blood pressure _____/_____, Pulse ______, Respiration_____ and temperature ______
I am concerned about the:
Blood pressure because it is over 200 or less than 100 or 30 mmHg below usual
Pulse because it is over 140 or less than 50
Respiration because it is less than 5 or over 40.
Temperature because it is less than 96 or over 104.
B
Background
The patient's mental status is:
Alert and oriented to person place and time.
Confused and cooperative or non-cooperative
Agitated or combative
Lethargic but conversant and able to swallow
Stuporous and not talking clearly and possibly not able to swallow
Comatose. Eyes closed. Not responding to stimulation.
The skin is:
Warm and dry
Pale
Mottled
Diaphoretic
Extremities are cold
Extremities are warm
The patient is not or is on oxygen.
The patient has been on ________ (l/min) or (%) oxygen for ______ minutes (hours)
The oximeter is reading _______%
The oximeter does not detect a good pulse and is giving erratic readings.
A
Assessment
This is what I think the problem is: <say what you think is the problem>
The problem seems to be cardiac infection neurologic respiratory _____
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The patient seems to be unstable and may get worse, we need to do something.
R
Recommendation
I suggest or request that you <say what you would like to see done>.
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come to see the patient at this time.
Talk to the patient or family about code status.
Ask the on-call family practice resident to see the patient now.
Ask for a consultant to see the patient now.
Are any tests needed:
Do you need any tests like CXR, ABG, EKG, CBC, or BMP?
Others?
If a change in treatment is ordered then ask:
How often do you want vital signs?
How long to you expect this problem will last?
If the patient does not get better when would you want us to call again?
This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safety,
and please retain this footer in the spirit of appropriate recognition.
Guidelines for Communicating with Physicians Using the SBAR Process
1. Use the following modalities according to physician preference, if known. Wait no
longer than five minutes between attempts.
1. Direct page (if known)
2. Physician’s Call Service
3. During weekdays, the physician’s office directly
4. On weekends and after hours during the week, physician’s home phone
5. Cell phone
Before as.
1.5 - Clinical Pharmacists in General Practice - A necessity, not a luxury
- Clinical pharmacists can take significant workload from GPs by handling medication reviews, prescription queries, and patient consultations, allowing GPs to focus on more complex cases.
- The speaker describes their work transforming prescribing practices at Westbourne Medical Centre, where they conduct 47 hours per month of medication reviews and 32 hours per month of patient consultations, saving GPs substantial time.
- Key proposals include streamlining the prescription query process, focusing on high-risk medications, and implementing a color-coded system to prioritize diabetes patients for appointments based on health metrics and medication usage. Other clinicians praise the positive impact of the clinical pharmacist role.
Nrs 410 topic 1 mandatory discussion question
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NRS 410 Great Stories /newtonhelp.com
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Max Points: 20.0
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Case Scenario
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This is a presentation about medical error with the following Objectives:
1- Learn step-by-step what to do when medical error occurs and how to report it
2- Learn how to identify root cause of a medical error and how to prevent its recurrence
3- Motivate your colleagues to foster a patient safety culture
APA Title page, running head, page numbers, reference sheet. Use L.docx
APA Title page, running head, page numbers, reference sheet. Use Level 1 and 2 headings to make identifying the components of the paper easier. – 5 points after grade calculated from rubric.
TO be successful in the clinical setting do the following:
You need a APA cover sheet, running head and reference page for anything you turn in (Journal, SOAP note, Time Log).
Do Not change the template.
Do use the template located in the Doc Sharing. This is the explanation of the template…this is not the template.
READ every line of this document please.
You must site 2 journal articles in addition to Epocrates/Medscape and text book failure to do so is -10 points outside of the rubric.
All grades are final. No revisions. Do not ask for revisions of SOAP grades.
Nurse Practitioner SOAP Notes
Purpose: To explain what each section of the SOAP note should include. Remember that Nurse Practitioners treat patients in a holistic manner and your SOAP note should reflect that premise. DO NOT INCLUDE IN NOTE
Subjective data value @ 15 points
SUBJECTIVE DATA: What the patient tells you but organized by you in logical fashion
Chief Complaint (CC): One to three words explaining why patient came to clinic value 1 point
History of Present Illness (HPI): Paint a picture of what is wrong with the patient. You need to start EVERY HPI with age, race, gender. (Example: 34-year-old AA male) Must include the 7 attributes of each principal symptom: value 7 points hint: OLD CART
Write your paragraph in the order of old cart & chart as well if missing paragraph -3.5 if missing list -3.5
Onset
Location
Duration
Characteristics
Aggravating Factors
Relieving Factors
Treatments/Therapies
Each of these are valued at 0.5 points (maximum 4 points)
Medications: list each one by name with dosage and frequency
Allergies: include specific reactions to medications, foods, insects, environmental
Past Medical History (PMH): Illnesses, hospitalizations, risky sexual behaviors. Include childhood illnesses
Past Surgical History (PSH): Dates, indications and types of operations
OB/GYN History: (if applicable) Obstetric history, menstrual history, methods of contraception and sexual function
Personal/Social History: Tobacco use, Alcohol use, Drug use. Patient’s interests, ADL’s IADL’s if applicable. Exercise, eating habits. Pediatrics: school status, parental smoking hx, birth history etc
Immunizations: Last Tdp, Flu, pneumonia, etc. Pediatrics- (per pediatric schedule for age)
Family History: Parents, Grandparents, siblings, children
Review of Systems: Go Head to toe. Cover each system that covers the Chief Complaint, History of Present Illness and History (this includes the systems that address any previous diagnoses). YOU DO NOT NEED TO DO THEM ALL UNLESS YOU ARE DOING a TOTAL H&P. Remember, this is what the patient tells you. Delete the system if not addressing. DO NOT put wnl or no complaints be specific. Value 3 points
General: any recent weight changes, weakness, fatigue,.
Copyright © Pearson Higher Education, 2013 1 Pleas.docx
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Approach to internship (mbbs in bangladesh perspective)
Some slides are taken from different textbooks of medicine like Davidson, Kumar and Clark and Oxford, and some from other presentations made by respected tutors. These resources are free for use, and I do not claim any copyright. Hoping knowledge remains free for all, forever.
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Progress notes and patient records are the medical translator's bread and butter, but this doesn't prevent even the most experienced medical translators from getting burnt. We'll take a closer look at the SOAP (Subjective, Objective, Assessment, Plan) format to understand how doctors think. We'll use the tool to understand why "BS" could mean "blood sugar," "breath sounds," or "bowel sounds." We'll also build a kit of multilingual resources for the review of systems, lab reports, etc. Finally, we'll address capturing succinct source-language style in a translation that is meaningful and not unduly conservative.
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History Taking
This document provides guidance on performing a thorough patient history. It outlines the key components of a patient history, including chief complaint, history of present illness, past medical history, drug history, family history, and social history. The importance of obtaining an accurate history is emphasized as it allows the healthcare provider to determine the etiology of the patient's problem. Guidelines are provided on how to conduct each part of the history respectfully and obtain relevant information through active listening and open-ended questioning.
Par-Q 2019
This document is a physical activity readiness questionnaire that assesses an individual's medical conditions and safety for becoming more physically active. It consists of 7 yes or no questions about medical conditions like heart disease. If any questions are answered yes, additional follow up questions must be completed. The questionnaire determines if further medical clearance is needed before increasing physical activity or if an individual is cleared to begin physical activity. It aims to safely increase physical activity for most people while identifying those that need medical guidance first.
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How do I use the ClickMedix Platform as a Tele-Geriatrics Data Manager?
- 2. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 3. The Data Manager TRIAGE DATA MANAGEMENT Reporting to Dra. Eva Reporting to the Family Educating the Patient/Family on the Drugs in the Prescription Follow-up care Initial Case Analysis/Triage Appointment Scheduling Alerts/Reminders to Dra. Eva/Family/Patient
- 8. Practice: •Lola Rosa has been diagnosed with Alzheimer’s and needs to go to the clinic for check-ups at 3PM every week for 6 weeks starting March 12, Monday.
- 10. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 11. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 15. Practice • Use the Physical Examination & Malnutrition Form • Patient ID: Lola Rosa • Weight: 50 • Height: 140 • Temp: 37 • Heart Rate: 80 • Respiratory Rate: 15 • Blood Pressure: 120/80 • CBG: 4 Take note of Case ID!
- 16. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 21. Practice •View your entry of Lola Rosa’s latest Physical Exam!
- 22. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 25. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 28. Practice
- 29. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 30. Dra. Eva requests for a Full Report via email… one option is…
- 33. Practice •Print your entry of Lola Rosa’s latest Physical Exam to PDF, if possible.
- 34. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 37. Practice
- 40. Practice
- 41. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 44. Practice •You are supposed to see the changes you’ve made during the practice for the Edit function.
- 45. The Platform View Search!Create AnswerAdd Images! Edit Follow- up View Changes!Print Generate Reports!
- 48. Sample Graph • Temperature (⁰C)
- 49. Sample Graph • Temperature (⁰C) – with upper limit
- 50. Practice
- 51. CASES – Case 1: This or That Case 2: Rx Case 3: Call a Friend
- 52. Practice (recall) 1. Family needs to purchase blood pressure monitor. 2. Patient needs metered dose inhaler. 3. Patient case needs to be referred to an allergologist.
- 53. Practice (recall) 1. Family needs to purchase blood pressure monitor. 2. Patient needs metered dose inhaler. 3. Patient case needs to be referred to an allergologist.
- 54. C A S E 1
- 55. C A S E 1
- 56. C A S E 1
- 57. Practice (recall) 1. Family needs to purchase blood pressure monitor. 2. Patient needs metered dose inhaler. 3. Patient case needs to be referred to an allergologist.
- 58. C A S E 2
- 59. C A S E 2
- 60. Practice 1. Family needs to purchase blood pressure monitor. 2. Patient needs metered dose inhaler. 3. Patient case needs to be referred to an allergologist.
- 61. C A S E 3
- 62. Example •The allergy expert advises that Lola Rosa undergo an allergy screening through the Skin Test. Dra. Eva thinks this through…
- 63. C A S E 3